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MARKET UPDATE| HEALTHCARE
HEALTHCARE
MARKET UPDATE
October 2018
2
MARKET UPDATE| HEALTHCARE
+6.5% 5Y-CAGR
Worldwide prescription
drugs -expected sales
+5.3% 5Y-CAGR
Medtech market -
expected growth
-0.2%/-5.7%Monthly EU Pharma &
biotech performance
24 / $1.5bnNumber & total value
of US ECM deals priced
in October
US midterms
looming,
pressure on
pharmasDrug pricing was a
central issue in the
election with results
potentially affecting
future performance
HIGHLIGHTS
Dear Reader,
Unless one has been living under a rock for the past month, there is nochance to have missed October bloodbath. With nearly $2 trillion loss inthe stock market, the slide snapped a six-month winning streak for thebenchmark S&P 500 index and on October 24th, the Nasdaq biotechnologysector stumbled 6.3%. October was the worst month for the market sinceSeptember 2011. Multiple factors played a role, with investors worriedabout politics and the upcoming midterm elections, escalating US-Chinatrade tensions, geopolitical flareups from Italy to Saudi Arabia and hikinginterest rate by the Federal Reserve. The pain spread to overseasmarkets, with the Hong Kong's Hang Seng tumbling 10% and China'sShanghai Composite losing 8%, sinking deeper into a bear market. Couldthat be the end of the longest bull market in American history?
However, it is interesting to note that before the chopper fell on themarkets, European biotech sector was on track to break its annual fundingrecord with a total for the first nine months of the year at $6.3Bn. Whilethe follow-on market thrived in Q3, the VC world was more active. Inparticular, the British biotech sector enjoyed a big Q3 for VC financingwith more than $600m flowing into UK biotechs. The sector raised 30%more money from public and private sources than it managed in all of2017. This month, after its oversubscribed $150m Serie C back in August,Orchard Therapeutics managed to raise $200m on the Nasdaq −exceedingits $173m goal− to finance the pivotal trials and regulatory filings forthree gene therapies in the US and Europe.
In the US, the CAR-T player Allogene too was able to pull a $288m IPO inthis bumpy environment after setting a goal of “only” $100m. The stockprice leaped as high as 39% on its first day of trading. Even moreflabbergasting, the company created by former Kite executives withassets from Cellectis in their pockets, raised a whopping $300 m series Around back in April of this year and in September, they went on to close a$120m private round. Some players definitively can get by rockyconditions while others are slaughtered.
On a side note, a survey conducted by KPMG and the Regulatory AffairsProfessionals Society (RAPS) found US and European manufacturers of allsizes have little familiarity with the European Union’s new Medical DeviceRegulation (MDR) and its requirements (postmarket surveillance andtracking of medical devices mainly) set to take full effect in May 2020.This is a major challenge for medical device companies in the Europeanmarket and might open a door for M&A with big players eating up smallerones who cannot afford to implement MDR.
Now for the end of the year, bull or bear, that is the question!
HERVE RONINPartner | Bryan, Garnier & Co
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MARKET UPDATE| HEALTHCARE
OCTOBER AT A GLANCE — FOCUS ON EUROPE
EQUITY MARKETS
▪ Healthcare stocks were not spared by the October market
sell off, with Biotechs suffering the most compared to
Pharma companies
▪ Sharp increase in the volatility of financial markets, to a
greater extent in the US (+75%) than in Europe (+38%)
▪ Monthly US / EU Biotech perf.: -14.6% / -5.7%
▪ Monthly US / EU Pharma perf.: -3.3% / -0.2%
▪ News of the month: Merck KGaA doubles Progression Free
Survival in Renal Cell Carcinoma with Avelumab
▪ Avelumab is an immune checkpoint inhibitor targeting PD-L1,
and was used in combination with axitinib, a Tyrosine Kinase
inhibitor
▪ During ESMO, Merck KGaA announced a PFS of 13.8 months
for the combination, vs 7.2 months in the sunitinib group.
Overall Survival data are expected at the end of the year
INDUSTRY & SCIENCE
▪ Raise of the month: AstraZeneca to acquire a 9.8% stake in
Innate Pharma in extended monalizumab deal
▪ AZ and Innate Pharma extended their 2015 deal, whereby AZ
gets full oncology rights of monalizumab. On top of the
equity investment, Innate Pharma is to receive $100 m in Q1-
2019, and is eligible to $100 m should AZ start a Phase 3 trial
▪ Innate Pharma was also granted US commercial rights of
recently approved AZ’ Lumoxiti for Hairy Cell Leukemia
FINANCING
▪ Transaction of the month: consolidation in the French
medical biology space
▪ Cerba Healthcare acquired Accolab from LFPI Gestion for an
estimated €100m. Accolab is a French operator of clinical
laboratories
▪ Swiss Unilabs aquired three French operators of clinical labs,
Biopath, Polibio and SFTMBio. The combined revenues of the
three entities are estimated to be around €100m
M&A
▪ Bryan, Garnier & Co’s Healthcare conference: more than
30 Biotech, Medtech and Pharma companies will attend the
6th edition of BG’s Healthcare conference, taking place on
November 22nd and 23rd
▪ Conference and Events in November: AHA (11/10-14),
ACAAI (11/15-19), RNSA (11/25-30)
NEXT MONTH
4
MARKET UPDATE| HEALTHCARE
BRYAN, GARNIER & CO 6TH HEALTHCARE CONFERENCE
Please contact the Bryan Garnier team directly for more information
5
MARKET UPDATE| HEALTHCARE
Jul-18 Aug-18 Sep-18 Oct-18
Nasdaq Biotech Next Biotech
Jul-18 Aug-18 Sep-18 Oct-18
Pharma US Pharma EUR
EQUITY MARKETS
Source : Bloomberg
1-YEAR PERFORMANCE 3-MONTH PERFORMANCE
VIX: 21
V2X: 20
Nasdaq Biotech: 3,276
Next Biotech: 2,068
Nasdaq: 7,306
Eurostoxx: 3,198
Pharma US: 574
Pharma EU: 151
+8% -1% +1% -3%
+9% -13% -5% -9%
0% +12% -11% -9%
+109% +69% +65% +62%
Oct-17 Jan-18 Apr-18 Jul-18 Oct-18
Nasdaq Eurostoxx
Oct-17 Jan-18 Apr-18 Jul-18 Oct-18
Pharma US Pharma EUR
Oct-17 Jan-18 Apr-18 Jul-18 Oct-18
VIX Index V2X Index
Oct-17 Jan-18 Apr-18 Jul-18 Oct-18
Nasdaq Biotech Next Biotech
Jul-18 Aug-18 Sep-18 Oct-18
Nasdaq Eurostoxx
Jul-18 Aug-18 Sep-18 Oct-18
VIX Index V2X Index
6
MARKET UPDATE| HEALTHCARE
EURONEXT HEALTHCARE COMPANY PERFORMANCE
Source : Bloomberg
Pharmaceuticals
Company Exchange Mkt Cap (€m) YTD 1 Month
SANOFI EN Paris 98,774 14.9% 3.0%
UCB SA EN Brussels 14,428 14.2% -4.2%
IPSEN EN Paris 10,273 24.0% -15.3%
VIRBAC SA EN Paris 1,199 14.8% -0.8%
FAGRON EN Brussels 1,033 26.8% -13.6%
BOIRON SA EN Paris 1,027 -27.7% -8.8%
VETOQUINOL SA EN Paris 588 -17.5% -3.7%
STALLERGENES GRE EN Paris 536 -29.6% -11.9%
Biotechs
Company Exchange Mkt Cap (€m) YTD 1 Month
GALAPAGOS NV EN Amsterdam 4,937 14.8% -6.9%
ARGENX SE EN Brussels 2,518 33.5% 7.7%
DBV TECHNOLOGIES EN Paris 986 -21.9% -16.4%
CELLECTIS EN Paris 938 -7.3% -8.6%
MITHRA PHARM EN Brussels 913 136.4% -17.5%
GENFIT EN Paris 643 -13.8% 3.2%
PHARMING GRP NV EN Amsterdam 594 -15.0% -2.3%
INNATE PHARMA SA EN Paris 427 55.9% 60.4%
VALNEVA SE EN Paris 305 21.3% -10.6%
NANOBIOTIX EN Paris 263 -9.6% -16.6%
CELYAD EN Brussels 263 -36.4% -3.3%
KIADIS PHARM EN Amsterdam 224 16.4% -36.3%
TRANSGENE SA EN Paris 191 8.3% 0.8%
OXURION NV EN Brussels 181 40.1% -13.3%
AB SCIENCE SA EN Paris 172 -49.8% 4.7%
POXEL SA EN Paris 156 -8.2% -8.8%
NICOX SA EN Paris 155 -48.7% -18.9%
MEDINCELL SA EN Paris 139 n.a. -4.8%
INVENTIVA SA EN Paris 134 21.2% -23.7%
ACACIA PHARMA GR EN Brussels 124 n.a. -40.2%
PHARNEXT SA EN Paris 122 26.9% 12.0%
ERYTECH PHARMA EN Paris 118 -64.5% -10.1%
GENKYOTEX SA EN Paris 116 -10.8% -2.1%
ADVICENNE EN Paris 94 -16.3% -6.9%
ADOCIA SAS EN Paris 88 -11.2% -22.6%
BONE THERAPEUTIC EN Brussels 83 33.3% 13.2%
TXCELL EN Paris 60 67.2% 1.2%
GENEURO SA EN Paris 60 -28.0% -3.3%
ABIVAX SA EN Paris 58 -34.0% -18.7%
OSE IMMUNO EN Paris 56 -1.6% -3.1%
ONXEO EN Paris 52 -10.4% -8.2%
ONCODESIGN EN Paris 50 -35.7% -24.3%
THERANEXUS SADIR EN Paris 48 4.6% 9.4%
GENSIGHT EN Paris 41 -73.0% -9.7%
ASIT BIOTECH SA EN Brussels 37 -42.7% -34.0%
QUANTUM GEN-REGR EN Paris 34 -10.2% 37.4%
CERENIS THERAPEU EN Paris 31 -15.1% -12.9%
PROBIODRUG AG EN Amsterdam 26 -70.0% -6.5%
LYSOGENE SA EN Paris 25 -50.0% 2.7%
BIOPHYTIS EN Paris 23 -63.5% -22.1%
NEOVACS EN Paris 21 -50.0% -21.2%
SENSORION SA EN Paris 18 -61.9% -51.8%
PLANT ADVANCED EN Paris 18 -22.7% -15.2%
VALBIOTIS SAS EN Paris 16 -40.6% -32.1%
GENOWAY SA EN Paris 11 -11.8% -14.7%
INTEGRAGEN EN Paris 8 -53.9% -34.5%
ESPERITE EN Amsterdam 6 -63.3% -29.2%
HYBRIGENICS EN Paris 2 -91.9% -88.6%
Performance
Performance
7
MARKET UPDATE| HEALTHCARE
Source : Bloomberg
EURONEXT HEALTHCARE COMPANY PERFORMANCE
Medical Products & Devices
Company Exchange Mkt Cap (€m) YTD 1 Month
SARTORIUS STEDIM EN Paris 10,103 82.9% -7.5%
BIOMERIEUX EN Paris 7,978 -9.4% -6.1%
EUROFINS SCIEN EN Paris 7,909 -11.6% -8.7%
GUERBET EN Paris 703 -28.4% -14.0%
BIOCARTIS NV EN Brussels 615 0.3% -2.8%
ION BEAM APPLICA EN Brussels 466 -34.9% -11.6%
CARMAT EN Paris 204 2.3% -17.8%
LUMIBIRD EN Paris 190 69.6% -12.7%
AMPLITUDE SURGIC EN Paris 154 -9.0% 7.3%
MDXHEALTH EN Brussels 104 -46.0% -37.6%
EOS IMAGING SA EN Paris 95 -12.6% -5.0%
MAUNA KEA TECHNO EN Paris 69 -42.2% -3.5%
BIOM'UP SACA EN Paris 64 -62.3% -41.6%
VOLUNTIS SA EN Paris 50 n.a. -37.2%
CURETIS AG EN Amsterdam 40 -37.9% -26.2%
PIXIUM VISIO EN Paris 39 -28.9% -5.2%
SUPERSONIC EN Paris 37 -15.4% -9.0%
EUROBIO-SCIENTIF EN Paris 36 -21.8% -5.4%
CELLNOVO GROUP S EN Paris 34 -38.3% -25.1%
BIOCORP EN Paris 32 -29.1% -8.3%
I CERAM EN Paris 28 -33.0% -19.0%
MEDIAN TECHNOLOG EN Paris 27 -75.0% -42.9%
MEDICREA INTERNA EN Paris 27 -45.0% -20.7%
BIOSYNEX EN Paris 23 -25.5% -19.2%
EUROMEDIS GROUPE EN Paris 20 -4.6% 3.8%
STENTYS EN Paris 19 -53.3% -40.3%
BLUELINEA EN Paris 18 -34.7% 18.7%
NOVACYT EN Paris 15 -42.3% -19.1%
CROSSJECT EN Paris 12 -73.2% -26.8%
DMS EN Paris 11 -51.7% -28.6%
THERACLION EN Paris 10 -69.3% -26.2%
THERADIAG EN Paris 9 -52.4% -19.4%
VISIOMED GROUP EN Paris 7 -87.6% -21.3%
SAFE ORTHOPAEDIC EN Paris 7 -62.9% -31.8%
SPINEGUARD EN Paris 7 -67.5% -30.1%
GENOMIC VIS EN Paris 6 -81.6% -38.5%
IMPLANET EN Paris 6 -58.6% -25.6%
SPINEWAY EN Paris 3 -92.8% -58.2%
Healthcare Services
Company Exchange Mkt Cap (€m) YTD 1 Month
ESSILORLUXOTTICA EN Paris 43,007 6.5% -5.3%
ORPEA EN Paris 7,056 11.7% -2.3%
KORIAN EN Paris 2,800 20.8% 11.1%
RAMSAY GENERALE EN Paris 1,595 37.1% 21.3%
LNA SANTE EN Paris 453 -20.2% -12.5%
BASTIDE EN Paris 251 -37.6% -6.6%
Performance
Performance
8
MARKET UPDATE| HEALTHCARE
LONDON HEALTHCARE COMPANY PERFORMANCE
Source : Bloomberg
Pharmaceuticals ➔
Company Exchange Mkt Cap (£m) YTD 1 Month
ASTRAZENECA PLC London 75,880 21.7% 0.5%
GLAXOSMITHKLINE London 74,963 19.2% -1.7%
SHIRE PLC London 42,816 20.9% 1.2%
HIKMA PHARMACEUT London 4,591 70.9% 2.8%
HUTCHISON CHINA London 3,238 -13.2% 1.8%
ABCAM PLC London 2,461 14.1% -16.2%
DECHRA PHARMA London 2,343 10.3% 5.8%
BTG PLC London 2,137 -27.6% 0.1%
INDIVIOR PLC London 1,372 -53.9% 2.3%
VECTURA GROUP London 473 -39.6% -10.9%
Biotechs
Company Exchange Mkt Cap (£m) YTD 1 Month
OXFORD BIOMEDICA London 456 56.0% -24.5%
ALLIANCE PHARMA London 344 0.4% 1.2%
BENCHMARK HOLDIN London 301 -2.7% -11.5%
ECO ANIMAL HEALT London 257 -34.8% -21.9%
CIRCASSIA PH London 200 -46.2% -24.5%
VERSEON CORP London 168 -9.1% -20.2%
SINCLAIR PHARMA London 160 21.7% 1.9%
BIOVENTIX PLC London 147 20.2% -7.4%
MEREO BIOPHARMA London 135 -41.5% -17.7%
VERONA PHARMA PL London 124 12.4% 2.2%
TIZIANA LIFE SCI London 118 -33.1% -34.5%
ALLERGY THERAPEU London 111 -38.6% -27.8%
MAXCYTE INC London 105 -16.6% -14.8%
TISSUE REGENIX G London 97 -10.8% -7.0%
4D PHARMA PLC London 97 -55.8% -13.7%
MOTIF BIO PLC London 83 -31.7% -21.1%
SILENCE THERAPEU London 81 -41.4% -10.1%
ONCIMMUNE HOLDIN London 59 -9.0% -25.7%
C4X DISCOVERY HO London 45 -1.3% -14.8%
AMRYT PHARMA PLC London 38 -32.0% -18.4%
SHIELD THERAPEUT London 36 -72.9% -9.0%
CATHAY INTL HLDG London 32 11.5% -5.6%
SCANCELL HOLDING London 31 -37.3% -25.8%
FARON PHARMACEUT London 23 -90.6% -27.2%
SKINBIOTHERAPEUT London 23 113.7% -8.2%
SUMMIT THERAPEUT London 23 -83.8% -19.1%
SAREUM HOLDINGS London 21 -8.8% 0.0%
DIURNAL GROUP PL London 19 -78.8% -72.1%
RENEURON GROUP P London 18 -70.4% -18.4%
IMMUPHARMA PLC London 15 -93.6% -13.8%
MIDATECH PHARMA London 9 -57.6% -32.2%
FUTURA MEDICAL London 9 -74.5% -34.7%
Performance
Performance
9
MARKET UPDATE| HEALTHCARE
LONDON HEALTHCARE COMPANY PERFORMANCE
Source : Bloomberg
Medical Products & Devices
Company Exchange Mkt Cap (£m) YTD 1 Month
SMITH & NEPHEW London 11,136 0.9% -8.3%
CONVATEC GROUP P London 3,185 -19.5% -30.3%
ADVANCED MEDICAL London 613 -9.4% -13.2%
CONSORT MEDICAL London 549 -3.1% -6.6%
CREO MEDICAL GRO London 229 174.8% -15.1%
MEDICA GROUP PLC London 154 -31.9% -12.6%
EKF DIAGNOSTICS London 121 11.4% -16.7%
TRISTEL PLC London 110 1.6% -16.4%
BIOQUELL PLC London 96 60.7% -6.5%
IMMUNODIAGNOSTIC London 60 -21.7% -8.7%
AVACTA GROUP PLC London 28 -62.3% -3.6%
NETSCIENTIFIC PL London 23 -59.2% -10.8%
Healthcare Services
Company Exchange Mkt Cap (£m) YTD 1 Month
CLINIGEN GROUP P London 1,199 -11.8% 7.3%
OXFORD BIODYNAMI London 192 21.3% -2.8%
ANPARIO PLC London 91 0.3% -20.2%
ERGOMED PLC London 67 -18.3% 0.0%
HVIVO PLC London 33 -26.4% -34.1%
Performance
Performance
10
MARKET UPDATE| HEALTHCARE
Source : Bloomberg
GERMAN HEALTHCARE COMPANY PERFORMANCE
Pharmaceuticals
Company Exchange Mkt Cap (€m) YTD 1 Month
BAYER AG-REG Xetra 63,283 -31.8% -11.0%
MERCK KGAA Xetra 41,026 6.8% 6.3%
DERMAPHARM HOLDI Xetra 1,331 n.a. -13.1%
BIOTEST AG Xetra 902 -2.0% -5.5%
MEDIGENE AG Xetra 263 -15.7% -11.2%
ECKERT & ZIEGLER Xetra 259 38.7% 10.4%
BIOFRONTERA AG Xetra 248 33.7% -7.3%
MAGFORCE AG Xetra 156 -10.2% -8.8%
HAEMATO AG Xetra 104 4.3% -7.4%
CO.DON AG Xetra 84 -38.4% -15.9%
SANOCHEMIA PHARM Stuttgart 19 2.1% -9.8%
Biotechs
Company Exchange Mkt Cap (€m) YTD 1 Month
MORPHOSYS AG Xetra 2,597 6.5% -10.7%
EVOTEC AG Xetra 2,575 28.6% -4.7%
FORMYCON AG Xetra 258 -13.1% -9.7%
PAION AG Xetra 135 -21.8% -12.4%
4SC AG Xetra 94 -38.2% -25.1%
HEIDELBERG PHARM Xetra 60 -34.7% -16.9%
MOLOGEN AG Xetra 28 -72.2% -32.8%
ELANIX BIOTECHNO Xetra 25 -14.1% 28.5%
CYTOTOOLS AG Xetra 15 -32.1% -13.7%
Medical Products & Devices
Company Exchange Mkt Cap (€m) YTD 1 Month
SIEMENS HEALTHIN Xetra 36,445 n.a. -3.5%
FRESENIUS SE & C Xetra 31,263 -12.7% -10.8%
FRESENIUS MEDICA Xetra 21,360 -20.3% -21.8%
SARTORIUS AG Xetra 8,918 47.2% -12.6%
CARL ZEISS ME-BR Xetra 6,493 41.8% 0.6%
DRAEGERWERK-PREF Xetra 800 -33.9% -13.0%
STRATEC BIOMEDIC Xetra 694 -9.5% -10.4%
PULSION MED SY-R Munich 188 -7.6% 3.6%
EPIGENOMICS AG Xetra 73 -48.7% -0.4%
HUMANOPTICS AG Frankfurt 68 106.6% -5.2%
GERATHERM MEDICA Xetra 48 -17.0% -9.0%
AAP IMPLANTATE Xetra 42 -18.3% 0.0%
CURASAN AG Xetra 15 -28.4% -9.2%
Healthcare Services
Company Exchange Mkt Cap (€m) YTD 1 Month
RHOEN-KLINIKUM Xetra 1,488 -25.0% 0.8%
MEDICLIN AG Xetra 273 -7.2% 0.0%
M1 KLINIKEN AG Frankfurt 224 -1.1% -16.9%
VITA 34 AG Xetra 47 1.0% -15.1%
MATERNUS-KLINIKE Xetra 42 -13.5% -5.6%
EIFEL-KLINIK AG Frankfurt 12 -25.5% -7.3%
Performance
Performance
Performance
Performance
11
MARKET UPDATE| HEALTHCARE
Source : Bloomberg
SWISS HEALTHCARE COMPANY PERFORMANCE
Pharmaceuticals
Company Exchange Mkt Cap (CHFm) YTD 1 Month
NOVARTIS AG-REG SIX Swiss Ex 225,067 11.0% 4.5%
ROCHE HLDG-GENUS SIX Swiss Ex 211,430 3.2% 3.1%
VIFOR PHARMA AG SIX Swiss Ex 9,461 18.0% -14.5%
COSMO PHARMACEUT SIX Swiss Ex 1,907 -13.4% -1.8%
CASSIOPEA SPA SIX Swiss Ex 448 28.7% -15.5%
Biotechs
Company Exchange Mkt Cap (CHFm) YTD 1 Month
IDORSIA LTD SIX Swiss Ex 2,557 -23.3% -21.1%
BASILEA PHAR-REG SIX Swiss Ex 578 -35.9% -8.5%
MOLECULAR PARTNE SIX Swiss Ex 393 -29.7% -15.9%
POLYPHOR AG SIX Swiss Ex 291 n.a. -20.5%
EVOLVA HOLDING S SIX Swiss Ex 200 -16.1% -9.4%
NEWRON PHARMACEU SIX Swiss Ex 153 -25.9% 1.2%
SANTHERA PHA-REG SIX Swiss Ex 104 -55.5% 1.1%
ADDEX THERAPEUTI SIX Swiss Ex 71 8.3% -9.2%
KUROS BIOSCIENCE SIX Swiss Ex 43 -58.0% -10.7%
RELIEF THERAPEUT SIX Swiss Ex 11 -46.0% -28.9%
Medical Products & Devices
Company Exchange Mkt Cap (CHFm) YTD 1 Month
STRAUMANN HLDG-R SIX Swiss Ex 10,917 0.6% -6.8%
SONOVA HOLDING A SIX Swiss Ex 10,750 9.7% -15.7%
TECAN GROUP AG-R SIX Swiss Ex 2,673 13.1% -2.2%
YPSOMED HOLD-REG SIX Swiss Ex 1,710 -15.0% -3.4%
MEDARTIS HOLDING SIX Swiss Ex 822 n.a. -6.3%
COLTENE HOLD-REG SIX Swiss Ex 614 12.8% -8.2%
IVF HARTMANN-REG SIX Swiss Ex 415 -3.1% -5.5%
SHL TELEMEDI-REG SIX Swiss Ex 76 10.3% -10.3%
Healthcare Services
Company Exchange Mkt Cap (CHFm) YTD 1 Month
LONZA GROUP -REG SIX Swiss Ex 23,584 21.5% -5.5%
BACHEM HOL-REG B SIX Swiss Ex 1,602 -21.8% -6.2%
DOTTIKON ES H-RE SIX Swiss Ex 652 -36.6% -16.6%
Performance
Performance
Performance
Performance
12
MARKET UPDATE| HEALTHCARE
KEY SECTOR NEWS IN OCTOBER
DATE NEWS
31 Oct 18 ONCIMMUNE – Financial results in-line & new strategy introduced
30 Oct 18 FRESENIUS MED CARE – Confirms soft Q3 numbers. Neutral reiterated on several uncertainties
30 Oct 18 FRESENIUS SE – Strong KABI, QSD margin progressing despite volatility
30 Oct 18 GENMAB – MAIA strengthens Darzalex as SoC in front-line MM
30 Oct 18 QIAGEN – Another very strong quarter. FY18 EPS guidance increased
30 Oct 18 THERANEXUS – Wake me up before it goes
30 Oct 18 UCB – 9months Revenue slightly above the consensus
26 Oct 18 BIOMERIEUX – Palmetto GBA adds further pressure on large multiplex GI panels
25 Oct 18 IPSEN – Reassuring third-quarter sales figures
25 Oct 18 KORIAN – Organic positive trend confirmed in Q3; FY conservative EBITDA guidance confirmed
25 Oct 18 VOLUNTIS – Roche backs-off of its recent partnership extension with Voluntis
24 Oct 18 GSK – GSK165: encouraging phase II results but in an overcrowded market
23 Oct 18 CELYAD – ESMO 2018: the stage is set for CYAD-01 in solid tumours
23 Oct 18 ESSILOR – Stronger than expected Q3 LFL boosted by Emerging markets and S&R
23 Oct 18 EUROFINS SCIENTIFIC – Q3 revenue broadly in line with estimates. 2019 and 2020 guidance upgraded
23 Oct 18 GALAPAGOS – ABBV scores a big win in UC phase 2b, but GLPG already in phase 3
23 Oct 18 INNATE PHARMA – Transformative new agreement with AZ
22 Oct 18 MERCK KGAA – Avelumab doubles PFS in RCC (and feedback from CMD)
22 Oct 18 SANOFI – Second good news in a row for Dupixent
18 Oct 18 BIOMERIEUX – On track to reach high-end of FY2018 guidance
18 Oct 18 BIOM'UP – Continuous efforts to roll-out HEMOBLAST underpinned by strong signal from the management
18 Oct 18 BONE THERAPEUTICS – JTA-004 puts Bone Therapeutics on the OA map
17 Oct 18 ROCHE – Impressive growth in the International region drives Q3 above estimates
15 Oct 18 GENFIT – NASH is King
11 Oct 18 ROCHE – Celltrion now close to the US market with biosimilar rituximab
10 Oct 18 MERCK – BTK is working in MS
8 Oct 18 HEALTHCARE – Five picks in healthcare in Q4 with Fresenius, Galapagos, Genmab, Novartis and Sanofi
8 Oct 18 NOVARTIS – BAF312 (siponimod) accepted for review both in the US and the EU
5 Oct 18 GENMAB – It’s time to GEN up on ofa!
5 Oct 18 NOVO NORDISK – New data with dual agonist set a potential new SoC
3 Oct 18 DBV TECHNOLOGIES – A look ahead 12m data for placebo bridgers (PEOPLE)
3 Oct 18 TRANSGENE – Two new technology platforms now on the horizon
2 Oct 18 GALAPAGOS – Slashed price for a de-risked blockbuster and rich pipeline!
1 Oct 18 SANOFI – Libtayo (cemiplimab) approved in the US: a blockbuster potential
Source : Bryan Garnier research
13
MARKET UPDATE| HEALTHCARE
EUROPEAN FUNDRAISING : IPO & FOLLOW-ONS
Pricing Date Issuer Country Industry Size (€m) Offer type Offer To Date
30 Oct 18 Orchard Therapeutics plc BRITAIN Medical-Biomedical/Gene 174 IPO 0%
26 Oct 18 Oryzon Genomics SA SPAIN Medical-Biomedical/Gene 13 Follow-on 24%
19 Oct 18 Kiadis Pharma NV NETHERLANDS Medical-Biomedical/Gene 31 Follow-on 12%
4 Oct 18 Laboratorios Farmaceut. Rov SPAIN Medical-Drugs 88 Follow-on 13%
3 Oct 18 Medincell SA FRANCE Medical-Biomedical/Gene 30 IPO -1%
2 Oct 18 GW Pharmaceuticals PLC BRITAIN Therapeutics 259 Follow-on -8%
27 Sep 18 Clinigen Group Plc BRITAIN Drug Delivery Systems 90 Follow-on 7%
27 Sep 18 Nightstar Therapeutics PLC BRITAIN Medical-Biomedical/Gene 61 Follow-on -39%
27 Sep 18 Valneva SE FRANCE Medical-Biomedical/Gene 50 Follow-on -7%
20 Sep 18 CRISPR Therapeutics AG SWITZERLAND Medical-Biomedical/Gene 171 Follow-on -23%
18 Sep 18 Argenx SE NETHERLANDS Medical-Biomedical/Gene 257 Follow-on 11%
12 Sep 18 Galapagos NV BELGIUM Medical-Drugs 297 Follow-on -8%
7 Sep 18 ProQR Therapeutics NV NETHERLANDS Medical-Drugs 90 Follow-on 42%
7 Sep 18 Adaptimmune Therapeutics Plc BRITAIN Medical-Biomedical/Gene 86 Follow-on -29%
5 Sep 18 Ambu A/S GERMANY Medical Instruments 398 Follow-on -36%
28 Aug 18 Sonova Holding AG SWITZERLAND Medical Products 276 Follow-on -5%
27 Aug 18 Wright Medical Group NV NETHERLANDS Medical Products 384 Follow-on 13%
16 Aug 18 Oncopeptides AB SWEDEN Medical-Drugs 17 Follow-on 5%
27 Jul 18 Orpea FRANCE Medical-Nursing Homes 64 Follow-on -7%
26 Jul 18 Nabriva Therapeutics PLC IRELAND Medical-Drugs 43 Follow-on -13%
19 Jul 18 ADL Bionatur Solutions SA SPAIN Medical-Biomedical/Gene 12 Follow-on -25%
19 Jul 18 Allergy Therapeutics PLC BRITAIN Medical-Drugs 12 Follow-on -34%
18 Jul 18 AC Immune SA SWITZERLAND Medical-Drugs 86 Follow-on -23%
13 Jul 18 Creo Medical Group plc BRITAIN Medical Products 55 Follow-on 55%
12 Jul 18 Myovant Sciences Ltd BRITAIN Medical-Drugs 64 Follow-on 5%
11 Jul 18 Idorsia Ltd SWITZERLAND Medical-Drugs 262 Follow-on -23%
21 Jun 18 Autolus Therapeutics PLC BRITAIN Medical-Biomedical/Gene 145 IPO 87%
20 Jun 18 ObsEva SA SWITZERLAND Medical-Drugs 63 Follow-on 6%
19 Jun 18 Alliance Pharma PLC BRITAIN Medical Products 39 Follow-on -25%
15 Jun 18 Calliditas Therapeutics AB SWEDEN Medical-Drugs 64 IPO 0%
14 Jun 18 Recipharm AB SWEDEN Medical-Drugs 50 Follow-on 6%
8 Jun 18 Immunovia AB SWEDEN Medical Products 32 Follow-on 0%
31 May 18 Mithra Pharmaceuticals SA BELGIUM Medical Products 77 Follow-on -16%
29 May 18 Voluntis SA FRANCE Medical Information Syst. 30 IPO -58%
25 May 18 Nuevolution AS DENMARK Medical-Drugs 11 Follow-on -4%
24 May 18 Hansa Medical AB SWEDEN Medical Labs&Testing Srv 62 Follow-on 34%
24 May 18 Medigene AG GERMANY Medical-Biomedical/Gene 48 Follow-on -24%
18 May 18 Biocartis NV BELGIUM Diagnostic Equipment 24 Follow-on 3%
3
months
Source : Bloomberg
Last
month
14
MARKET UPDATE| HEALTHCARE
PRIVATE EQUITY MARKET ACTIVITY
DATE TARGET CTY DESCRIPTION BUYER / INVESTOR
Oct 18 Accolab FR Operator of medical biology laboratories Cerba Healthcare
Oct 18 BioPath/Polibio/SFMT FR Operators of medical biology laboratories Unilabs
Oct 18 Visiomed AG DE Dermoscopy sytems for 3D imaging, clinical photography… Canfield Scientific
Oct 18 Clinical Trials Lab UK High qualiy serum, plasma and blood collection services BioIVT
Oct 18 Nemera FR Manufacturer of drug administration systems Astorg
Oct 18 Eco-Dex FR Devices for automatic dispension of solid oral drugs SantaLucia Pharma
Oct 18 Choice Care Group UK Provider of residential services for people with learning disabilities Caledonia Investment
Oct 18 Owlstone Medical UK Breathalyzer developer for diagnostics Horizon, Ventura, Foxconn
Oct 18 Sitryx Therapeutics UK Biotech company specializing in immuno-oncology and inflammation SV Health, Sofinnova, GSK
Oct 18 Sphingotec DE Medical diagnostics HBM, Wellington
Oct 18 Novaliq DE Therapies against eye disease Dievini Hopp
Oct 18 Oxford Nanopore UK DNA sequencing company Amgen
Sep 18 Novartis (Sandoz US) CH Sandoz US dermatology business and generic oral solids portfolio Aurobindo Pharma
Sep 18 Emerging Implant DE Manufacturer of 3D-printed titanium for spinal fusion surgery Johnson & Johnson
Sep 18 Systagenix UK Manufacturer and supplier of wound care products Scapa Group
Sep 18 ViraTherapeutics AT Developer of oncolytic viral therapies Boehringer Ingelheim
Sep 18 Fife Hospital UK Operator of UK-based hospitals Semperian PPP Investment
Sep 18 Cornerstone UK Operator of long term acute care hospitals Ignite Growth
Sep 18 Tusk Therapeutics BE Developer of therapeutic antibodies for the treatment of cancer Roche
Aug 18 Genomics UK Company using human genetic information for drug development Vertex, Woodford, Invesco…
Aug 18 Cytune Pharma FR Development of new therapies for immune modulation SOTIO (PPF Group)
Aug 18 KaNDy Therapeutics UK Non-hormonal drug candidates for menopause symptoms Longitude, Advent, etc.
Aug 18 Ziylo UK Glucose binding molecule platform Novo Nordisk
Aug 18 Blueberry Therap. UK Nanomedicine for skin and nail infections China Medical System
Aug 18 Orchard Therap. UK Commercial stage company focusing on rare disease Deerfield, RA Capital, etc.
Aug 18 Artios UK Novel cancer treatment targeting DNA damage response Andera, LSP, Pfizer, etc.
Aug 18 Therachon CH Clinical stage company focusing on rare disease Novo, Cowen, Pfizer, Tekla
Aug 18 Healx UK Breakthrough treatment for rare diseases Balderton, Amadeus
Aug 18 Vernalis UK Company with 3 marketed drugs: Tuzistra, Moxatag, Frovatriptan Ligand Holding
Jul 18 ReViral UK Antiviral drug discovery and development company NewLeaf, Novo Ventures
Jul 18 Polares Medical CH Development of transcatheter mitral valve Endeavour, IDO, Earlybird
Jul 18 Dysis Medical UK Devices for the detection of pre-cancerous and cancerous lesions Lundbeckfonden Ventures
Jul 18 Dynacure FR New treatments for orphan disorders Andera, Pontifax, Bpi, etc.
Jul 18 NBE Therapeutics CH Next-generation ADC drugs against cancer PPF, BIVF
Jul 18 TxCell FR Developer of CAR-Treg therapies for immune disorders Sangamo Therapeutics
Recent notable M&A / fundraisings in France, Germany, UK, Netherlands, Switzerland & Belgium (1)
(1) Please contact the Bryan Garnier team directly for any detail regarding valuation and transaction size of private company deals
Last
month
Last 3
months
15
MARKET UPDATE| HEALTHCARE
19 Analysts
150+ Stocks Covered
EuropeU.S.
In November 2016 Bryan, Garnier & Co formed a partnership with JMP Securities
LLC (NYSE : JMP) to create JMP Bryan Garnier, a full-service transatlantic
investment banking alliance for technology and healthcare companies.
JMP BRYAN GARNIER EQUITY RESEARCH COVERAGE
EQUITY RESEARCH / SALES
ERIC LE BERRIGAUD
Equity Analyst (Pharma)
+33 1 56 68 75 33eleberrigaud@bryangarnier.com
JEAN-JACQUES LE FUR
Equity Analyst (Pharma)
+33 1 70 36 57 45jjlefur@bryangarnier.com
YOUR TEAM FOR HEALTHCARE
BRYAN, GARNIER & CO SELECTED CREDENTIALS
REMI NEGRE
Analyst
+33 1 70 36 57 48rnegre@bryangarnier.com
GARY WAANDERS
Managing Director (UK)
+44 207 332 2545gwaanders@bryangarnier.com
DOMINIC WILSON
Managing Director (UK)
+44 207 332 2514dwilson@bryangarnier.com
HERVÉ RONIN
Partner
+33 1 70 36 57 22 hronin@bryangarnier.com
ANNE MOORE
Vice-President
+33 1 56 68 75 39 amoore@bryangarnier.com
ROMAIN ELLUL
Vice-President
+33 1 56 68 75 51rellul@bryangarnier.com
CORPORATE FINANCE
OLIVIER GARNIER
Managing Partner
+33 1 56 68 75 71 ogarnier@bryangarnier.com
PHIL WALKER
Managing Director (UK)
+44 207 332 2520pwalker@bryangarnier.com
MICKAEL DUBOURD
Associate
+33 1 56 68 75 30mdubourd@bryangarnier.com
SANDRINE CAILLETEAU
Managing Director
+33 1 56 68 75 26scailleteau@bryangarnier.com
DAN DYSLI
Managing Director (Zurich)
+41 79 525 2850ddysli@bryangarnier.com
Private Placement
€30 000 000
Joint Lead Manager
€70 000 000
Follow-on &
IPO on Nasdaq OMX
Sole Bookrunner / Co-
lead Manager
Joint Lead Manager &
Bookrunner
Follow-on &
Nasdaq IPO
$414 500 000
Acquired by
$435 000 000
Advisor to the
company
Euronext Paris
IPO & Follow-on
Sole Global Coordinator/
Joint-Bookrunner
€83 000 000
SIX IPO
Joint Global Coordinator
& Bookrunner
CHF 142 600 000
Acquired by
Advisor to the seller
Undisclosed
HUGO SOLVET
Equity Analyst (Medtech)
+33 1 56 68 75 57hsolvet@bryangarnier.com
VICTOR FLOC’H
Equity Analyst (Biotech)
+33 1 56 68 75 92vfloch@bryangarnier.com
16
MARKET UPDATE| HEALTHCARE
DEDICATED TO GROWTH
bryangarnier.com
Bryan, Garnier & Co is a European, full service growth-focused independent investment banking partnership
founded in 1996. The firm provides equity research, sales and trading, private and public capital raising as
well as M&A services to growth companies and their investors. It focuses on key growth sectors of the
economy including Technology, Healthcare, Consumer and Business Services. Bryan, Garnier & Co is a fully
registered broker dealer authorized and regulated by the FCA in Europe and the FINRA in the U.S. Bryan,
Garnier & Co is headquartered in London, with additional offices in Paris, Munich, Zürich and New York. The
firm is a member of the London Stock Exchange and Euronext.
This document is based on information available to the public and other sources deemed reliable.
No representation or warranty, express or implied, is or will be made in relation to, and no responsibility or reliability is or will be accepted by Bryan Garnier & Company or any of its officers, employees or advisers as to the accuracy or completeness of this document or any other written or verbal information available to the recipient or its advisers.
While all reasonable care has been taken to ensure that the facts stated are accurate and the opinions given are fair and reasonable, neither we nor any of our affiliated companies nor any of our, or their directors, representatives or employees, accepts responsibility or liability for any loss or expense arising directly or indirectly from the use of this document or its or its contents. This document is not and
should not be construed as an offer, or a solicitation of any offer, to buy or sell securities.
Bryan, Garnier & Co is authorised and regulated by the Financial Conduct Authority (FCA) in the United Kingdom.
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